NPI | 1033534631 |
---|---|
Former Name | REBEKAH OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ND R45088) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN R 172352-2) |
Enumeration Date | 2014-02-19 |
Last Update Date | 2018-07-20 |