| NPI | 1992705131 |
|---|---|
| Former Name | DEANINE M. DECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 006889) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2022-03-21 |