| NPI | 1497995823 |
|---|---|
| Former Name | LAURA ELAINE OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA 61299089) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX N2224) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2024-01-24 |