| NPI | 1114452315 |
|---|---|
| Former Name | ALEXANDRA L LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WV AT001211) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OK 849) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2019-11-10 |