| NPI | 1356585210 |
|---|---|
| Former Name | CORTNEE LYNN LUCERO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 7286119-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 587949) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F335849-1) | |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2021-07-21 |