| NPI | 1811257165 |
|---|---|
| Professional Name | STACY ILES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP186880) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00327200) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2023-10-03 |