NPI | 1124405360 |
---|---|
Former Name | BRITTANY NICOLE PORTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: TX Q9751) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX Q9751) |
Enumeration Date | 2015-04-27 |
Last Update Date | 2018-06-07 |