| NPI | 1073848651 |
|---|---|
| Former Name | PRIYA B CHAMPANERIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NJ 26NJ00321300) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN Rn0000167674) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2012-01-12 |