NPI | 1417365115 |
---|---|
Former Name | BRITTANY ROSE OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ND R37482) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MN R180858-6) |
Enumeration Date | 2014-07-25 |
Last Update Date | 2017-05-03 |