| NPI | 1407122468 |
|---|---|
| Former Name | JESSICA L GOMES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: FL OS13898) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: FL OS138898) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2018-03-29 |