Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 042-0015457 | VT |
N | 208000000X | Pediatrician | 6299 | WI |
NPI | 1003270489 |
---|---|
Provider Name | Anisha Rimal |
First Address | Minneapolis, MN 55406-1841 |
Second Address | Burlington, VT 05401-1473 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2016 |
Last Update Date | 18/10/2021 |