| NPI | 1619980745 |
|---|---|
| Former Name | VIKKI LOUISE VAUGHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology (Licence: MA 19519) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2009-09-24 |