| NPI | 1790030245 |
|---|---|
| Other Name | TERI LUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 4271) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 14479) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |