| NPI | 1629205760 |
|---|---|
| Former Name | JACQUELINE REBECCA MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MA 272679) |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |