| NPI | 1902177850 |
|---|---|
| Former Name | DIANE MARIE PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61312337) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60085467) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2022-10-05 |