| NPI | 1285915421 |
|---|---|
| Former Name | MAUREEN BISHAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: MI 2901020552) |
| Additional Taxonomies | 122300000X Dentist (Licence: FL DN19543) |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2012-08-27 |