| NPI | 1548635477 |
|---|---|
| Former Name | MEGAN ANN MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00415400) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110005111) |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2024-03-21 |