| NPI | 1376636357 |
|---|---|
| Former Name | ELIZABETH DILLEY PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WV 63137) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APRN 3025) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2016-10-20 |