| NPI | 1467604942 |
|---|---|
| Former Name | AJA MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 02003917A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 02003917A) |
| 207R00000X Internal Medicine (Licence: MI 5101018023) | |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2023-05-21 |