| NPI | 1124357215 |
|---|---|
| Former Name | LEAH MARIETTE PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0060740) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101.0060740) |
| Enumeration Date | 2009-12-18 |
| Last Update Date | 2025-05-20 |