| NPI | 1295963627 |
|---|---|
| Former Name | GEORGIA B LILES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: GA 003643) |
| Additional Taxonomies | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CA A122668) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2016-01-28 |