| NPI | 1609003375 |
|---|---|
| Former Name | TANYA LEIGH PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: OH 34012431) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NM A-1768-13) |
| 207V00000X Obstetrics & Gynecology (Licence: WV 2072) | |
| 207V00000X Obstetrics & Gynecology (Licence: VA 0102202844) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2020-09-09 |