Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | A81431 | CA |
Y | 2080P0203X | Pediatric Critical Care Doctor | 53110 | MN |
NPI | 1144268566 |
---|---|
Provider Name | Didima Carmen Mon-Sprehe |
First Address | Minneapolis, MN 55404-4387 |
Second Address | Minneapolis, MN 55404-4387 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2006 |
Last Update Date | 19/10/2011 |