| NPI | 1255506515 |
|---|---|
| Former Name | MARY-ANNE PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-10452) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 774) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2024-03-08 |