| NPI | 1376008128 |
|---|---|
| Former Name | NICOLE BASCELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ ATR-009057) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2023-03-06 |