NPI | 1811951882 |
---|---|
Former Name | TESSIE ANTONY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: NY 163019-1) |
Enumeration Date | 2006-04-14 |
Last Update Date | 2007-07-08 |