NPI | 1306114442 |
---|---|
Former Name | EMMA DIGBY OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60822575) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201403443NP) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 21356) | |
Enumeration Date | 2011-12-04 |
Last Update Date | 2018-09-10 |