NPI | 1609224625 |
---|---|
Former Name | SANDHYA TALLURI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA 20A18549) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ R2670) |
Enumeration Date | 2016-05-31 |
Last Update Date | 2024-07-03 |