NPI | 1508286477 |
---|---|
Former Name | CARI LUTKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277002751) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011431) |
Enumeration Date | 2014-04-18 |
Last Update Date | 2024-07-30 |