| NPI | 1255875134 |
|---|---|
| Former Name | MAUREEN MARGARET DECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R136188) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2017-01-25 |