NPI | 1467119693 |
---|---|
Former Name | JAYME BROOKE VAUGHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3016532) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3016532) |
Enumeration Date | 2021-11-22 |
Last Update Date | 2022-01-24 |