| NPI | 1386163590 |
|---|---|
| Former Name | TIMEKA MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 319644) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OH 319644) |
| 163W00000X Registered Nurse (Licence: OH 319644) | |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2023-12-11 |