Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 0102206621 | VA |
N | 207VE0102X | Reproductive Endocrinologist | H0085824 | MD |
NPI | 1093120156 |
---|---|
Provider Name | Anne Martini |
First Address | Vienna, VA 22182-2710 |
Second Address | Vienna, VA 22182-2710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2014 |
Last Update Date | 09/09/2021 |