NPI | 1679951305 |
---|---|
Former Name | ELIZABETH KATHLEEN GERGITS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010892) |
Enumeration Date | 2015-05-14 |
Last Update Date | 2015-05-14 |