| NPI | 1902102510 |
|---|---|
| Former Name | ALEXIS R. BROUSSARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: LA 115453) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |