| NPI | 1659557940 |
|---|---|
| Former Name | EDIE B BOUDREAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA AP05466) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN102783) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA AP05466) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2021-12-14 |