| NPI | 1033645312 |
|---|---|
| Other Name | EVELYN DOMINGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95006362) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95006362) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95006362) | |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2022-02-28 |