NPI | 1134259815 |
---|---|
Former Name | NADIA NICOLE COLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NM 533) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT2942) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2015-11-02 |