| NPI | 1356143580 |
|---|---|
| Former Name | JULIE BLACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 39026) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 246238) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2026-05-07 |