Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 2013-01099 | NC |
N | 111NI0900X | Internist | 2013-01099 | NC |
N | 207RG0300X | Geriatric Medicine | 2013-01099 | NC |
Y | 207RG0300X | Geriatric Medicine | MD042648 | DC |
NPI | 1104144534 |
---|---|
Provider Name | Dr. Christina Pernia Prather |
First Address | Washington, DC 20037-3201 |
Second Address | Washington, DC 20037-3201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2010 |
Last Update Date | 11/01/2019 |