| NPI | 1619221900 |
|---|---|
| Former Name | REENA M THANKACHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277000111) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209009988) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2026-03-30 |