| NPI | 1780064634 |
|---|---|
| Former Name | MENAKA BABUSUKUMAR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35.142282) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 94-08651) |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2021-05-13 |