NPI | 1548929920 |
---|---|
Former Name | SHERRY MICHELLE MONTGOMERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000030343) |
Enumeration Date | 2021-12-13 |
Last Update Date | 2024-11-20 |