| NPI | 1205341526 |
|---|---|
| Former Name | JESSICA EGANA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95012165) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95012165) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2022-12-05 |