| NPI | 1891962437 |
|---|---|
| Former Name | JUDY ANN BROUSSARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: LA RN088774 APO5432) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2021-05-10 |