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 |