| NPI | 1003234220 |
|---|---|
| Former Name | TERESA RENE WORSTELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 71139) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CA A156778) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2024-02-07 |