| NPI | 1598174328 |
|---|---|
| Former Name | ELIA LEXINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: FL PTA22753) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: BOC2000017708) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |