NPI | 1295359412 |
---|---|
Former Name | ALICIA LOUISE BEGAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95022161) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95085188) |
Enumeration Date | 2020-06-03 |
Last Update Date | 2024-02-15 |