| NPI | 1114400397 |
|---|---|
| Former Name | CHERISE DECORAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 13468) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WI 195999) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MN 2467240) | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2023-09-11 |