NPI | 1447267414 |
---|---|
Former Name | JANE EMILY PORTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA G41508) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD18682) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2007-07-08 |