| NPI | 1831695170 |
|---|---|
| Former Name | AMBER MARIA FORREST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: GA RN245277) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: GA RN245277) |
| 163W00000X Registered Nurse (Licence: GA RN245277) | |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2024-08-27 |