| NPI | 1578552436 |
|---|---|
| Other Name | MONICA L FANNING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 3544-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO 100617) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2021-04-23 |