| NPI | 1093003857 |
|---|---|
| Former Name | TRISTA LYNN GENG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0001463) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NM C-4951) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2019-03-05 |