| NPI | 1275857864 |
|---|---|
| Former Name | SUSAN MARIE GUGGENBUEHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 4037) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 4037-33) |
| Enumeration Date | 2010-03-25 |
| Last Update Date | 2020-01-17 |