| NPI | 1396028957 | 
|---|---|
| Former Name | LINDSEY J BOUCHER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN276056)  | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 197187)  | 
| Enumeration Date | 2011-09-21 | 
| Last Update Date | 2024-04-03 |