| NPI | 1902093495 |
|---|---|
| Former Name | KRISTINA EDGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: RI PT01728) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: RI AT00176) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2009-06-15 |