| NPI | 1295002160 |
|---|---|
| Former Name | ANTOINETTE INNIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 274484) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NC 2012-00137) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2014-07-08 |