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 |