Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 15425 | ZZ |
NPI | 1437593472 |
---|---|
Provider Name | Dr. Brenda Louise Giles |
First Address | Winnipeg, MANITOBA R3P 2L4 |
Second Address | Chicago, IL 60637 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2013 |
Last Update Date | 22/04/2013 |