| NPI | 1295045474 |
|---|---|
| Former Name | KALY R LUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA054607) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002538) |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2023-03-27 |