NPI | 1861022840 |
---|---|
Former Name | BARBARA L PORTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11015728) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178702) |
Enumeration Date | 2020-01-18 |
Last Update Date | 2024-07-20 |