NPI | 1477839728 |
---|---|
Former Name | NICOLE ANNE REIMERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OK AT1148) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT4358) |
Enumeration Date | 2011-11-01 |
Last Update Date | 2020-02-14 |