| NPI | 1932975976 |
|---|---|
| Former Name | LAURA E OLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: WI 23-675) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2023-11-30 |