NPI | 1407259211 |
---|---|
Former Name | EMILY MARGARET OLSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111752) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NE 111752) |
Enumeration Date | 2014-10-07 |
Last Update Date | 2018-10-08 |