| NPI | 1376981357 |
|---|---|
| Former Name | BETSY J PORTO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KS TMP147024) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |