| NPI | 1114474228 |
|---|---|
| Former Name | CARLISE NICOLE WASHINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.019801) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |