| 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 |