| NPI | 1225457484 |
|---|---|
| Former Name | DAISSY CAROLINA DOMINGUEZ MARQUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2018-07-17 |