| NPI | 1144561408 |
|---|---|
| Former Name | ROBIN MARY BOUDREAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA RN062903) |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |