| NPI | 1821651746 |
|---|---|
| Former Name | LAUREN DOMINICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 70506) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 70506) |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2023-07-31 |