| NPI | 1104903517 |
|---|---|
| Former Name | LILIA VANESSA HARDIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: AR E-7764) |
| Additional Taxonomies | 2085N0700X (Licence: AR E-7764) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-03-14 |