| NPI | 1477688620 |
|---|---|
| Former Name | ROSA MARIA AMBROSINO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: NY 055447-1) |
| Additional Taxonomies | 122300000X Dentist (Licence: IL 019027017) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2011-10-26 |