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 |