NPI | 1265424402 |
---|---|
Former Name | LAURA JANELLE OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005180) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA RN00079210) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP30005180) | |
Enumeration Date | 2005-08-15 |
Last Update Date | 2022-03-25 |