| NPI | 1477090900 |
|---|---|
| Former Name | RENEE MARIE FRITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: GA 009113) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-07002) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2022-06-23 |