| NPI | 1437691896 |
|---|---|
| Former Name | JACQUELYN S. HOMRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0992600-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0199215) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2020-11-11 |