| NPI | 1013301407 |
|---|---|
| Former Name | OLITHA JAMESETTA COLLINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN CNP 3783) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN CNP 3783) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MN CNP 3783) | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |