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 |