| NPI | 1891523304 |
|---|---|
| Former Name | ANDREA GRACE HINTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 15658-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 226692-30) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |