NPI | 1750708913 |
---|---|
Former Name | ASHLEY NICOLE VAUGHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: NC 2020-00275) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2014-03-26 |
Last Update Date | 2020-03-03 |