| NPI | 1578730990 |
|---|---|
| Former Name | LISA MARIE STUTIUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: MA 225657) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 225657) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2011-06-26 |