| NPI | 1215018460 |
|---|---|
| Former Name | MITALI DATTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: AZ 35600) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2022-04-05 |