| NPI | 1003158999 |
|---|---|
| Former Name | JUSTINE A NAGEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL010769) |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2021-07-28 |