| NPI | 1710611603 |
|---|---|
| Former Name | SHELBY GILES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71012807A) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IN 28220040A) |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-10-22 |