| NPI | 1679922918 |
|---|---|
| Former Name | JENNIFER BOUDREAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP08872) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: LA F0616045) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2024-08-27 |