NPI | 1366724668 |
---|---|
Former Name | KARA K VAUGHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601006178) |
Additional Taxonomies | 363A00000X Physician Assistant |
363AM0700X Physician Assistant, Medical (Licence: MI 5601006178) | |
Enumeration Date | 2011-09-13 |
Last Update Date | 2023-12-21 |