| NPI | 1073864997 |
|---|---|
| Former Name | MALLORIE K OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: WA LD60675180) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: WA LD60675180) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2022-02-08 |