| NPI | 1497707145 |
|---|---|
| Former Name | VICTORIA JARRETT PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9107686) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: GA 006217) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-09-26 |