| NPI | 1659576635 |
|---|---|
| Former Name | VINITA DATTATRAYA THAKUR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD438385) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2004019665) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2019-11-26 |