| NPI | 1528352804 |
|---|---|
| Former Name | AHMARA VIVIAN GIBBONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: PA MD454778) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: NM RS2014-0656) |
| Enumeration Date | 2011-06-04 |
| Last Update Date | 2015-07-02 |