NPI | 1487891966 |
---|---|
Former Name | SAVITHRI KAKANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MI 5601002469) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601002469) |
Enumeration Date | 2009-01-20 |
Last Update Date | 2009-01-20 |