| NPI | 1720628837 |
|---|---|
| Former Name | THERESA L SCHOLZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238000658) |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2020-01-07 |