NPI | 1013200591 |
---|---|
Former Name | LAURA KAREEN PORTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 52794) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2011-05-17 |
Last Update Date | 2023-04-14 |