| NPI | 1679554331 |
|---|---|
| Former Name | JOSALYN LEAH OLSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-45337) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-45337) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD-45337) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 224214) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2018-07-30 |