| NPI | 1114117520 | 
|---|---|
| Former Name | SUSAN GILES | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 045611-12) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 229966) | 
| Enumeration Date | 2007-08-01 | 
| Last Update Date | 2023-11-17 |