| NPI | 1457027377 |
|---|---|
| Former Name | SADIE ELAINE DECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AR 217291) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 217291) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2024-08-21 |