| NPI | 1902196009 |
|---|---|
| Former Name | MARYANN D. DECOLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH 024620) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 314670) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2020-08-31 |