NPI | 1265897821 |
---|---|
Former Name | NICOLE M BUEHLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WI 1074-39) |
Enumeration Date | 2015-12-28 |
Last Update Date | 2021-05-03 |