| NPI | 1235203761 |
|---|---|
| Former Name | HAYDI ROBEIR MICKAIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MN 12056) |
| Additional Taxonomies | 122300000X Dentist (Licence: MN D12056) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2009-01-23 |