| NPI | 1437538485 |
|---|---|
| Former Name | JESSICA LEIGH GAETA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95003103) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 832207) |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2021-11-02 |