| NPI | 1073989489 |
|---|---|
| Former Name | NICOLE VAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WA A160588830) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: ID AT-554) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |