| NPI | 1770900383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MARIE VAUGHN AO 629-317-1465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 174079) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2026-03-26 |