| NPI | 1952870917 |
|---|---|
| Former Name | JENNIFER GUISE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP019510) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: PA SP019510) |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2020-10-05 |