| NPI | 1063132595 |
|---|---|
| Former Name | EMILY KATHERINE THIELE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025891) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041408114) |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2022-09-02 |