NPI | 1417468471 |
---|---|
Former Name | MARIA LUTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP022503) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R219250) |
Enumeration Date | 2017-10-18 |
Last Update Date | 2023-02-17 |