| NPI | 1962732552 |
|---|---|
| Former Name | JENNIFER NICHOLE GUHDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03946) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2009022125) |
| Enumeration Date | 2010-01-05 |
| Last Update Date | 2017-01-23 |