| NPI | 1134341746 |
|---|---|
| Former Name | SALLY B PORTERA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 36117761) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2009023911) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-12-31 |