NPI | 1639512627 |
---|---|
Former Name | KARI OLSON SVEUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WI 62830) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MN S15051484859) |
Enumeration Date | 2013-04-09 |
Last Update Date | 2016-08-03 |