| NPI | 1699978650 |
|---|---|
| Former Name | MARTA VAUGHN |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OR 857) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: WA DI00001802) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2025-01-31 |