| NPI | 1831514033 |
|---|---|
| Former Name | ERICA LYNN PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18376) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 182415) |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2018-01-08 |