| NPI | 1407252919 |
|---|---|
| Former Name | FALLON EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.020358) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R200497) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2020-01-31 |