NPI | 1831695170 |
---|---|
Former Name | AMBER MARIA FORREST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/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 |