NPI | 1861626939 |
---|---|
Former Name | REENA THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: FL ME130914) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME130914) |
Enumeration Date | 2009-05-05 |
Last Update Date | 2023-07-06 |