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 |