| NPI | 1164467866 |
|---|---|
| Former Name | ELISA M LUTZER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 042592) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A94203) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2023-03-07 |