| NPI | 1467932673 |
|---|---|
| Former Name | JESSICA LEEANNE GALLEGOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024176458) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2021-01-22 |