| NPI | 1851085328 |
|---|---|
| Former Name | JULIA MARIE OLSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO TL.0009967) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA 20A25391) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2026-08-20 |