| NPI | 1326820895 |
|---|---|
| Former Name | KATRINA JANE MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 28201849A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4015647) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71014723A) | |
| Enumeration Date | 2023-10-18 |
| Last Update Date | 2025-06-30 |