| NPI | 1619929502 |
|---|---|
| Former Name | BRENA BHARATKUMAR SHAH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 225205) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 225205) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-02-14 |