| 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 | 2022-08-09 |