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 |