| NPI | 1528069531 |
|---|---|
| Former Name | MISTY R DECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3004253) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3004253) |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2025-02-22 |