| NPI | 1659716546 |
|---|---|
| Former Name | FANISHA Y PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 82683) |
| Additional Taxonomies | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: GA 82683) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 82683) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2023-04-12 |