NPI | 1679910871 |
---|---|
Former Name | REBEKAH LYNN MONTGOMERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 17683) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R084272) |
Enumeration Date | 2013-05-28 |
Last Update Date | 2015-04-17 |