Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD049357 | DC |
NPI | 1003349564 |
---|---|
Provider Name | Tiffani Erickson |
First Address | Washington, DC 20016-2143 |
Second Address | Washington, DC 20016-2143 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2017 |
Last Update Date | 25/05/2021 |