| NPI | 1871334722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 10004428A) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2025-07-11 |