| NPI | 1356509996 |
|---|---|
| Former Name | KATHERINE WALLACE SHISTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 250868) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2019-01-18 |