| NPI | 1730328931 |
|---|---|
| Former Name | TINA A THIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP04352) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: LA AP04352) |
| 163W00000X Registered Nurse (Licence: LA RN085762) | |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2025-08-22 |