| NPI | 1518361856 |
|---|---|
| Former Name | RACHAEL ELIZABETH PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: CT 3430) |
| Additional Taxonomies | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: NY 017874) |
| 363AS0400X Physician Assistant Surgical (Licence: NY 017874) | |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2021-07-07 |