| NPI | 1083199962 |
|---|---|
| Other Name | OLGA DAWN SUSAN NEWELL LOGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9370450) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-081654) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2024-06-25 |