| NPI | 1912730748 |
|---|---|
| Former Name | THALIA NIETZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 069393-23) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 069393-23) |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2025-09-02 |