NPI | 1619728250 |
---|---|
Former Name | HOLLYANN LORAINE OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 11811) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 2023315) |
Enumeration Date | 2024-04-01 |
Last Update Date | 2024-08-05 |