NPI | 1780801746 |
---|---|
Former Name | MICHELLE L HOPPA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WI 170302-30) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2020-01-28 |