| NPI | 1245880806 |
|---|---|
| Former Name | YELENA AKSELROD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WA DE60828129) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |