Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | J0000013 | MD |
NPI | 1033230685 |
---|---|
Provider Name | Dr. Janene Elizabeth Martin |
First Address | Lutherville Timonium, MD 21093-2265 |
Second Address | Lutherville Timonium, MD 21093-2265 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 18/01/2017 |