NPI | 1457578759 |
---|---|
Former Name | SARA K MUNYON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WY 27933.1040) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP2667) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2020-06-19 |