NPI | 1801276175 |
---|---|
Former Name | EMILY ASHLEY OLSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MN 67830) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WI 76565) |
208000000X Pediatrics (Licence: MN 67830) | |
Enumeration Date | 2015-06-02 |
Last Update Date | 2022-07-27 |