| NPI | 1609451210 |
|---|---|
| Former Name | ALEXA FRANCES THIELMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 15406) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MT MED-PAC-LIC-95816) |
| Enumeration Date | 2021-03-15 |
| Last Update Date | 2026-08-05 |