| NPI | 1639567902 |
|---|---|
| Other Name | STEPHANIE JO VAUGHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: IL 237.000148) |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |