| NPI | 1811429228 |
|---|---|
| Former Name | ELIZABETH ANN DOMINIC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0101273289) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101273289) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2023-08-28 |