| NPI | 1457589491 |
|---|---|
| Former Name | REENA MATHEWS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WI 6580) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DS037906) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2011-08-08 |