| NPI | 1114093432 |
|---|---|
| Former Name | LORI J. KUTKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AK 121717) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036116966) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2018-04-02 |