| NPI | 1962864959 |
|---|---|
| Former Name | NICHOLE LEE DECKER-FARIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ME RNA173026) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2022-07-21 |