| NPI | 1942851597 |
|---|---|
| Former Name | EBONI EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN236916) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 30084) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2025-03-25 |