| NPI | 1235124215 |
|---|---|
| Former Name | TERESA LYNN LUTKA-FEDOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD422963) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2018-08-29 |