| NPI | 1386884872 |
|---|---|
| Former Name | MELISSA ELLEN DECKARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MO 2006038530) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: CA 741502) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |