| NPI | 1477749273 |
|---|---|
| Former Name | SAMANTHA ERIN MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01071166A) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301088463) |
| 207V00000X Obstetrics & Gynecology (Licence: OH 35.095308) | |
| Enumeration Date | 2007-09-15 |
| Last Update Date | 2013-07-22 |