| NPI | 1033926829 |
|---|---|
| Former Name | JENNIFER MARIE GUSMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: IA 131311) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.397965) |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |