| NPI | 1639468135 |
|---|---|
| Former Name | JENNIFER LUKAC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2014007663) |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: MO 2014007663) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2021-05-04 |