NPI | 1255869665 |
---|---|
Former Name | JENNIFER LACROIX GUNTHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902195) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MS 902195) |
363L00000X Nurse Practitioner (Licence: MS 902195) | |
Enumeration Date | 2017-05-30 |
Last Update Date | 2023-11-01 |