| NPI | 1104237643 |
|---|---|
| Former Name | DOMINIQUE D WASHINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX R6309) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX BP10050319) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2022-02-15 |