NPI | 1013035294 |
---|---|
Former Name | GLORIA L PITTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NJ 26NJ00058800) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP007231) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2019-12-11 |