NPI | 1740536176 |
---|---|
Former Name | DOONA MELLON PORTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0990548-NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 8136) |
Enumeration Date | 2012-08-03 |
Last Update Date | 2017-04-03 |