| NPI | 1336158666 |
|---|---|
| Former Name | LISA R GARLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IA T-076356) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2019-12-09 |