| NPI | 1316277338 |
|---|---|
| Former Name | AISHA JENELLE MCKNIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA 68934) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: TX 068934) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2023-03-14 |