| NPI | 1265476550 |
|---|---|
| Former Name | LINDA DECKLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery (Licence: NM 91-101) |
| Additional Taxonomies | 208600000X Surgery (Licence: NY 204554) |
| 2086S0120X Surgery, Pediatric Surgery (Licence: NY 204554) | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2016-03-25 |