Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD20220 | DC |
NPI | 1083784664 |
---|---|
Provider Name | Alicia Catherine Trotter |
First Address | Washington, DC 20016-3622 |
Second Address | Washington, DC 20016-3622 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 23/01/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
D42912 | (02) | DC |