| NPI | 1568864486 |
|---|---|
| Former Name | JENALI M TAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP-2053) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH OH3197420) |
| Enumeration Date | 2014-09-23 |
| Last Update Date | 2022-03-30 |