| NPI | 1275887366 |
|---|---|
| Former Name | RUTH ESTHER OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 71414) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IN 01074582A) |
| 207Q00000X Family Medicine (Licence: MN 66625) | |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2021-06-21 |