| NPI | 1447576319 |
|---|---|
| Former Name | ELIZABETH ANN FOUNTAINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 284210) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2021-05-05 |