| NPI | 1003620808 |
|---|---|
| Former Name | NICOLETTA DIAMANTOPOULOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NY 002048) |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |