NPI | 1801032867 |
---|---|
Former Name | CARRIE ANGELA DECKMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KY 3005926) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1096463) |
Enumeration Date | 2008-12-22 |
Last Update Date | 2013-06-19 |