| NPI | 1912351529 |
|---|---|
| Former Name | ALEXANDRA ELIZABETH BRYAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: AZ ATR-008903) |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2024-02-27 |