Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | 28142 | NE |
Y | 2080P0203X | Pediatric Critical Care Doctor | 65570 | MN |
NPI | 1134392533 |
---|---|
Provider Name | Rebecca Starling |
First Address | Minneapolis, MN 55404-4387 |
Second Address | Minneapolis, MN 55404 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2008 |
Last Update Date | 24/06/2019 |