| NPI | 1104467877 |
|---|---|
| Former Name | CLAUDIA A PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11004398) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2024-06-16 |