| NPI | 1215137369 |
|---|---|
| Other Name | PHYLLIS ELAINE MUNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024167255) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2019-02-15 |