| NPI | 1902060502 |
|---|---|
| Former Name | CHARLENE DOROTHY LUTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: NJ 26NR10527400) |
| Enumeration Date | 2008-07-12 |
| Last Update Date | 2008-07-12 |