NPI | 1477840064 |
---|---|
Former Name | CHRISTINA MONIQUE LUCERO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5481) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CO POD.0000749) |
Enumeration Date | 2011-07-01 |
Last Update Date | 2022-08-24 |