Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | MD048675 | DC |
Y | 213ES0000X | Sports Medicine | MD048675 | DC |
NPI | 1508252974 |
---|---|
Provider Name | Yodit Tefera |
First Address | Washington, DC 20036-3716 |
Second Address | Washington, DC 20036-3716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2015 |
Last Update Date | 30/09/2020 |