NPI | 1083798482 |
---|---|
Former Name | SARAH E OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 53632) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 001849) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2022-07-05 |