| NPI | 1467845040 |
|---|---|
| Former Name | SHEILA ANN VAUGHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014043704) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 76740) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-05-29 |