| NPI | 1114381159 |
|---|---|
| Former Name | BRITTANY J PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2016004353) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 77113) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2018-08-15 |