| NPI | 1184643306 |
|---|---|
| Former Name | DIANA DENISE HEARD-VAUGHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 40357) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301079540) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-12-13 |