| NPI | 1598875627 |
|---|---|
| Former Name | DIANNE THERESA LEROUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: FL ME102496) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI MD12935) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-12-15 |