| NPI | 1295139798 |
|---|---|
| Former Name | LAURA C SOPRANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 363A00000X) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110007714) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2023-08-22 |