| NPI | 1912533811 |
|---|---|
| Former Name | NICOLE JUSTINE DREGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CT 663) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |