| NPI | 1518040476 |
|---|---|
| Former Name | KRISTEAN ANN PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NM MD2010-0196) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN10143) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2025-03-18 |