| NPI | 1386626802 |
|---|---|
| Former Name | AUDREY MATRICE WASHINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD D36408) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2016-05-15 |