| NPI | 1912557901 |
|---|---|
| Former Name | THERESA L SCHOLZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: IL 238.000658) |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |