| NPI | 1700058740 |
|---|---|
| Former Name | LINDSAY BOUDREAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KY 46945) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 49892) |
| 208000000X Pediatrics (Licence: KY TP566) | |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2021-01-21 |