| NPI | 1104970441 |
|---|---|
| Former Name | MAXINE MCCLINTON-WILSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN246516) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 041-235446) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2016-05-04 |