| NPI | 1922234434 |
|---|---|
| Former Name | PAMELA M DEAVER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085P0229X Radiology, Pediatric Radiology (Licence: TX R0041) |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology (Licence: TX BP10053732) |
| 2085P0229X Radiology, Pediatric Radiology (Licence: CT 70289) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: CT 70289) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: TX BP10053732) | |
| 2085R0202X Radiology, Diagnostic Radiology (Licence: MA 247707) | |
| 2085P0229X Radiology, Pediatric Radiology (Licence: MA 247707) | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2025-09-08 |