| NPI | 1730431883 |
|---|---|
| Former Name | LAURA A MIDDLETON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110008646) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9106717) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2022-10-11 |