NPI | 1346650397 |
---|---|
Former Name | KAYTI MONTGOMERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 58951) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02404) |
Enumeration Date | 2014-04-30 |
Last Update Date | 2024-05-06 |