| NPI | 1710296819 |
|---|---|
| Former Name | ANGELA JEZYK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001192) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 666181) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2013-11-04 |