| NPI | 1255377354 |
|---|---|
| Former Name | DEVRI LANE DILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX K3038) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: TX K3038) |
| 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: TX K3038) | |
| 208600000X Surgery (Licence: TX K3038) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2022-09-29 |