| NPI | 1306295936 |
|---|---|
| Former Name | JENNIFER NICOLE GATELEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WA 60659929) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2024-12-27 |