| NPI | 1861771990 |
|---|---|
| Former Name | LARISA ANATOLIEVNA ROUSSINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: NY in progress) |
| Enumeration Date | 2011-08-07 |
| Last Update Date | 2011-08-07 |