| NPI | 1942441423 |
|---|---|
| Former Name | BROOKE E. THIELKING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A110227) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 46327) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2004018377) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A110227) | |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2015-08-26 |