Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | D0088660 | MD |
Y | 111NI0900X | Internist | D0088660 | MD |
NPI | 1003203134 |
---|---|
Provider Name | Erica Nakajima |
First Address | Washington, DC 20016-2633 |
Second Address | Washington, DC 20016-2633 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2015 |
Last Update Date | 31/08/2021 |