| NPI | 1598109597 |
|---|---|
| Former Name | HALEY DIANA ROUTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX Q3348) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2013-04-20 |
| Last Update Date | 2023-09-27 |