NPI | 1174623623 |
---|---|
Former Name | MARTHA JAMES LOVE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD445554) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2005-01023) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A71270) | |
Enumeration Date | 2006-09-24 |
Last Update Date | 2012-12-10 |