| NPI | 1659936540 |
|---|---|
| Former Name | CHRISTINE EVILSIZOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.024587) |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |