NPI | 1730594326 |
---|---|
Professional Name | JESSICA SUSAN LUTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 30677) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: KS 04-41093) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2021-11-09 |