| NPI | 1902344104 |
|---|---|
| Former Name | JOALIS LOURDES DOMINGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA 227160) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA 227160) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2025-06-28 |