| NPI | 1124264353 |
|---|---|
| Former Name | ELIZABETH OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0203X Radiology, Therapeutic Radiology (Licence: MN 56311) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2021-03-17 |