| NPI | 1578187548 |
|---|---|
| Former Name | EVANGELENE NELL MUNN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MN 8444) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R1426298) |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2023-07-25 |