| NPI | 1669744033 |
|---|---|
| Former Name | ELIZABETH MARY OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172751) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 33336913) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2015-10-20 |