| NPI | 1730657891 |
|---|---|
| Former Name | JESSICA LYNNE GALLOWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA 231644) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN231644) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2021-11-23 |