| NPI | 1689088015 |
|---|---|
| Former Name | ALICIA C COWAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 266234) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024171237) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2022-12-06 |