| NPI | 1205203551 |
|---|---|
| Former Name | NICOLE MARIE GLASGOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: KS 24-00832) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2024-09-06 |