NPI | 1760157929 |
---|---|
Other Name | HIBERY HO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: WA DE61195226) |
Additional Taxonomies | 122300000X Dentist (Licence: OR D11489) |
Enumeration Date | 2021-08-10 |
Last Update Date | 2021-09-01 |