NPI | 1598873028 |
---|---|
Former Name | CECILIA MERCEDES SAQUETON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: OR 2577T) |
Additional Taxonomies | 152W00000X Optometrist (Licence: WA OD00003267) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2007-07-08 |