NPI | 1578777538 |
---|---|
Former Name | VIVIAN RUTH GILES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX R4977) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR E-15623) |
Enumeration Date | 2007-05-09 |
Last Update Date | 2025-08-29 |