| NPI | 1457606121 |
|---|---|
| Former Name | JENNIFER L GUENTHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 13844) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: WI 315608-31) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2023-06-30 |