| NPI | 1922467075 |
|---|---|
| Former Name | MALORIE NICOLE GIBSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: PA SP033786) |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2025-09-05 |