NPI | 1346494770 |
---|---|
Former Name | ERICA R. LUTZE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3573) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: WI 3573-33) |
Enumeration Date | 2008-11-12 |
Last Update Date | 2024-07-15 |