NPI | 1588818041 |
---|---|
Former Name | LORI J NACHTIGAL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00454900) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 008184-1) |
Enumeration Date | 2008-11-11 |
Last Update Date | 2008-11-11 |