| 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 |