| NPI | 1225414105 |
|---|---|
| Former Name | ALICIA J BENGTSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0991832-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 0991832) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2024-02-06 |