| NPI | 1265754907 |
|---|---|
| Former Name | BARBARA ANN BEAUDETTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 300-033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 62427-30) |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |