NPI | 1437296134 |
---|---|
Former Name | ELIZABETH SQUIBB PURICELLI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2004017837) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2007-07-08 |