NPI | 1194773234 |
---|---|
Former Name | NANCY THERESA DECKEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3001262) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1051825) |
Enumeration Date | 2006-05-04 |
Last Update Date | 2016-03-22 |