| NPI | 1871905117 |
|---|---|
| Former Name | JENNIFER ELAINE GUILFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04979) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110005500) |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2024-02-12 |