NPI | 1467740084 |
---|---|
Former Name | SARA JANE LUTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: MI 5315049490) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: MI 5101019154) |
Enumeration Date | 2011-07-17 |
Last Update Date | 2024-12-19 |