| NPI | 1376869123 |
|---|---|
| Former Name | SHANNA LEIGH VAUGHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: NM A-1690-12) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: NM A-1690-12) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2025-02-13 |