| NPI | 1619458221 |
|---|---|
| Former Name | KATHERINE J MIDDELER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176305) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0024176305) |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2019-05-02 |