| NPI | 1326791914 |
|---|---|
| Former Name | VIOLET BOOTHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025108) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041421701) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209025108) | |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-09-21 |