| NPI | 1477107795 |
|---|---|
| Former Name | ELIZA JEAN NEWCOMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE O1-0001675) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL007689) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2022-01-03 |