NPI | 1992012595 |
---|---|
Former Name | ELIDA LIBRADA CERVANTES-GROS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: TX 1952) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E5599) |
Enumeration Date | 2010-09-03 |
Last Update Date | 2024-07-28 |