| NPI | 1245631738 |
|---|---|
| Other Name | STACY LUTTRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX API26575) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 862299) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2021-12-13 |