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 |