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 |