| NPI | 1700014867 |
|---|---|
| Former Name | KENNEDY BROOKE DECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0083279) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 734236) |
| 163W00000X Registered Nurse (Licence: OK 83279) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2018-03-17 |