NPI | 1700046927 |
---|---|
Former Name | REBECCA ANNE LUTZE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 61210) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 6644) |
Enumeration Date | 2008-06-11 |
Last Update Date | 2023-03-07 |