NPI | 1558385674 |
---|---|
Former Name | REENA K MATHEW |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: TX Q0726) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: PA MD420953) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2020-01-17 |