| 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 |