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 |