| NPI | 1841936952 |
|---|---|
| Former Name | AIMEE BOUDREAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11020701) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9463320) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2022027840) | |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2023-01-22 |