| NPI | 1033348057 |
|---|---|
| Former Name | DELENE PRENITA ETWARU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MO 2019012317) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 46271) |
| 208000000X Pediatrics (Licence: MO 2019012317) | |
| Enumeration Date | 2009-07-12 |
| Last Update Date | 2023-02-17 |