| NPI | 1376213397 |
|---|---|
| Former Name | JEANETTE MARGARET VICENTE GATAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0029773) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |