NPI | 1770849275 |
---|---|
Former Name | KAVITHA TIRUMALASETTI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: AZ 56244) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2012-04-09 |
Last Update Date | 2018-07-25 |