| NPI | 1043578172 |
|---|---|
| Former Name | KRISTIN L OLSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 279659) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2018-05-15 |