| NPI | 1598034845 |
|---|---|
| Former Name | MARGARET LYDIA CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 169610-9) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 169610-9) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2023-12-26 |