Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A142708 | CA |
NPI | 1598024960 |
---|---|
Provider Name | Dr. Elizabeth Laura Giles |
First Address | Sacramento, CA 95827-2539 |
Second Address | Sacramento, CA 95816-5126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2012 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1598024960 | (05) | CA |