NPI | 1710233275 |
---|---|
Other Name | CHRISTINA ANN SOPPA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 3334) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 5470) |
363LF0000X Nurse Practitioner, Family (Licence: MN R207361-1) | |
Enumeration Date | 2012-08-01 |
Last Update Date | 2023-01-30 |