| NPI | 1114284775 |
|---|---|
| Former Name | CARLY ANNE SODAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IA MD-45194) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2018-07-13 |