| NPI | 1265982052 |
|---|---|
| Former Name | GINA MARIE GUIMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-09589) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 53750) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2021-05-11 |