Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 60642362 | WA |
NPI | 1073889234 |
---|---|
Provider Name | Jennifer Leigh Katz Eriksen |
First Address | Seattle, WA 98195-0001 |
Second Address | Seattle, WA 98195-6110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2012 |
Last Update Date | 17/03/2018 |