| NPI | 1427305127 |
|---|---|
| Former Name | CLARISSE JUSTINE EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OH APRN.CNP.13676) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2020-01-16 |