NPI | 1831382290 |
---|---|
Former Name | LEAH B VAUGHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5003242) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5003242) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2023-03-07 |