| 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 | 163W00000X Registered Nurse (Licence: LA RN085762) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2017-02-10 |