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