| NPI | 1942548094 |
|---|---|
| Former Name | NICOLE CATHERINE BUCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL AL4861) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2025-08-17 |