| NPI | 1154782712 |
|---|---|
| Former Name | GLORIA FRITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 21016) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 203408) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2017-05-22 |