| NPI | 1962066910 |
|---|---|
| Former Name | EMILY K BOUDREAUX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 331385) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2022-09-21 |