| NPI | 1396030383 |
|---|---|
| Former Name | SWAPNA MATHEW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 005507) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 734389) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2013-12-03 |