| NPI | 1639792716 |
|---|---|
| Former Name | JENNIFER GOMEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1223589) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 943746) |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2026-01-13 |