| NPI | 1336971845 |
|---|---|
| Former Name | ELISABETH FREDRICKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 209030433) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209030433) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: IL 041454866) | |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2025-11-06 |