| NPI | 1679131031 |
|---|---|
| Former Name | JANEA A THALER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34837) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11002742) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2024-01-31 |