NPI | 1801043336 |
---|---|
Former Name | CHRISTINA MARIE VAUGHN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704239778) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MI 4704239778) |
Enumeration Date | 2008-08-27 |
Last Update Date | 2021-06-15 |