NPI | 1346234366 |
---|---|
Former Name | JACQUELINE E SLEMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990986-NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA up005248b) |
363LF0000X Nurse Practitioner, Family (Licence: PA UP005248B) | |
Enumeration Date | 2005-09-06 |
Last Update Date | 2022-04-04 |