| NPI | 1770012957 |
|---|---|
| Former Name | LEEANN MICHELLE MUNGLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: TN RN00000193068) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2024-01-04 |