| NPI | 1154535136 |
|---|---|
| Professional Name | LORRAINE SUSAN DOMINGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 17087) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2024-09-11 |