| NPI | 1619467883 |
|---|---|
| Former Name | CAROLINE WALKER LUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 7171) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO PA0005362) |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2025-07-22 |