| NPI | 1598747206 |
|---|---|
| Other Name | KATIE BOUDREAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: CO 21619) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CO 21619) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2017-10-02 |