| NPI | 1205687530 |
|---|---|
| Former Name | JADE CHRISTINE OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2473809) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 11835) |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2025-01-14 |