| NPI | 1659854925 |
|---|---|
| Former Name | ANN M MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.023683) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 332919) |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-11-13 |