| NPI | 1437725512 |
|---|---|
| Former Name | MADISON ROLLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2024-11-20 |