| NPI | 1760522353 |
|---|---|
| Former Name | LEEANNE HARSHMAN OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: TX M5213) |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: PA MD440983) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2013-12-17 |