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) |
363LF0000X Nurse Practitioner, Family (Licence: VA 1008436) | |
Enumeration Date | 2018-08-22 |
Last Update Date | 2025-08-22 |