| NPI | 1760941850 |
|---|---|
| Former Name | ALYSSA GRACE DOMINGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AZ 73487) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2025-07-15 |