| NPI | 1407436199 |
|---|---|
| Former Name | BERIT OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 1182902) |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-08 |