NPI | 1043806516 |
---|---|
Former Name | PRITI SRIVASTAVA EVANS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN0000028769) |
Enumeration Date | 2020-12-17 |
Last Update Date | 2023-04-13 |