| NPI | 1649866906 |
|---|---|
| Former Name | OLIVIA REID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28724) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TN 193223) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |