| NPI | 1467793307 |
|---|---|
| Former Name | MANDY E. MIDDLEBROOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: LA PA.200599) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MS PA00663) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2023-01-04 |