NPI | 1073289344 |
---|---|
Former Name | CARA MARIE OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 16063-33) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 242587-30) |
Enumeration Date | 2021-08-18 |
Last Update Date | 2024-12-15 |