| NPI | 1104281583 |
|---|---|
| Former Name | ASHELY THIELE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704268183) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 28181495A) |
| 363L00000X Nurse Practitioner (Licence: IN 71006097A) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71006097A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71006097A) | |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2023-11-01 |