| NPI | 1043663024 |
|---|---|
| Former Name | GINA K PORTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.009427RX) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CT 3700) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2025-10-02 |