| NPI | 1275602633 |
|---|---|
| Former Name | JANELISE S GUNNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MT NUR-APRN-LIC-125338) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ID NP661A) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2023-09-11 |