NPI | 1043242621 |
---|---|
Former Name | KATHRYN D LUTGEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-44905) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 44905) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2024-09-07 |