NPI | 1205409034 |
---|---|
Former Name | NATALIE J DECHECK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 77581) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 89002-851) |
Enumeration Date | 2021-07-20 |
Last Update Date | 2023-12-18 |