| NPI | 1447738810 |
|---|---|
| Former Name | TRAVISHA VAUGHNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX U0137) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 62494) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2022-11-21 |