NPI | 1316394596 |
---|---|
Former Name | ABBY HIBMA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: WA MD61160591) |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: CA A150435) |
207W00000X Ophthalmology (Licence: WI 7315220) | |
Enumeration Date | 2016-05-18 |
Last Update Date | 2021-09-21 |