NPI | 1942566534 |
---|---|
Former Name | MELAINA VAUGHAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036141450) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX p9314) |
Enumeration Date | 2012-04-08 |
Last Update Date | 2023-11-27 |