| NPI | 1225523004 |
|---|---|
| Former Name | ALICIA MAE ERICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R39910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2344340) |
| 163W00000X Registered Nurse (Licence: ND R39910) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2020-02-24 |