| NPI | 1619517224 |
|---|---|
| Former Name | ALEXANDRIA RASCHTSCHENIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OK 770) |
| Enumeration Date | 2020-01-11 |
| Last Update Date | 2020-01-11 |