| NPI | 1245214188 |
|---|---|
| Former Name | NANCY R. PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 48401) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: IN 01037236A) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2014-07-09 |