Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | A80058 | CA |
NPI | 1013042019 |
---|---|
Provider Name | Dr. Julie Kristina Olsson |
First Address | Mountain View, CA 94040-1277 |
Second Address | Stanford, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2007 |
Last Update Date | 27/11/2012 |