| NPI | 1376322172 |
|---|---|
| Former Name | TERI KAYE MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: SC 28655) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN339928) |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2025-12-18 |