NPI | 1134114937 |
---|---|
Other Name | MARY D LUTZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH7808) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL ARNP2814872) |
Enumeration Date | 2005-09-18 |
Last Update Date | 2015-11-30 |