| NPI | 1326148735 |
|---|---|
| Former Name | ROSE J CHEMPLAVIL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101032889) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME65332) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-07-24 |