Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | 104535 | MN |
Y | 2080P0205X | Pediatric Endocrinologist | 52144 | MN |
NPI | 1124295761 |
---|---|
Provider Name | Zarlasht Amini |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2008 |
Last Update Date | 18/11/2009 |