| NPI | 1558799130 |
|---|---|
| Other Name | AMY DOMINGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA 2277691) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 2277691) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2020-03-01 |