NPI | 1851310767 |
---|---|
Former Name | JACQUELINE GUIGNON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS APRN 53-45786-061) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2012-03-12 |