NPI | 1023384062 |
---|---|
Former Name | CHERI MAUREEN MONTEITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 201250034NP) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201250034NP) |
Enumeration Date | 2012-03-23 |
Last Update Date | 2024-07-25 |