| NPI | 1215267331 |
|---|---|
| Former Name | THERESA JANE WURSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: FL GFL635361) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |