| NPI | 1538575626 |
|---|---|
| Former Name | STEPHANIE PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: MN 59366) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MN 59366) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2021-07-21 |