| NPI | 1255872115 |
|---|---|
| Former Name | CAROLINE LEE OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 12711) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-03-12 |
| Last Update Date | 2024-07-22 |