NPI | 1750503728 |
---|---|
Former Name | GHADA HASBANI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 5405TG) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: OH 4843-T1708) |
Enumeration Date | 2007-05-02 |
Last Update Date | 2023-02-28 |