NPI | 1881037091 |
---|---|
Former Name | JENNIFER LEIGH PORTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207ZP0101X Pathology, Anatomic Pathology (Licence: GA 81345) |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: GA 81345) |
207ZH0000X Pathology, Hematology (Licence: GA 81345) | |
Enumeration Date | 2013-04-08 |
Last Update Date | 2019-04-11 |