| NPI | 1124031174 |
|---|---|
| Professional Name | MARIE GUERDA DOMINIQUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA8505) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: DC PA200001547) |
| 363A00000X Physician Assistant (Licence: MD C01930) | |
| 363A00000X Physician Assistant (Licence: VA 0110001307) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-07-02 |