NPI | 1821144023 |
---|---|
Former Name | DIANE M OLSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: WA 025801RN00071286) |
Enumeration Date | 2007-01-28 |
Last Update Date | 2007-07-08 |