| NPI | 1235542622 |
|---|---|
| Former Name | JALEH M OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD184080) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA ML 60470557) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2020-10-14 |