NPI | 1326820895 |
---|---|
Former Name | KATRINA JANE MONTGOMERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014723A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28201849A) |
Enumeration Date | 2023-10-18 |
Last Update Date | 2024-09-27 |