| NPI | 1619257029 |
|---|---|
| Former Name | CARINA LAURA VISONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 20541) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 20541) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 20541) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704351430) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MI 4704351430) | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2019-04-26 |