| NPI | 1023480746 |
|---|---|
| Former Name | CHRISTIN OLSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015032919) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 76956) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2021-07-01 |