| NPI | 1083178941 |
|---|---|
| Former Name | MICHELLE KATRICE BROUSSARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: LA RN133855) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |