| NPI | 1689018954 |
|---|---|
| Former Name | CRYSTAL RENEE MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX R1587) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2018-10-30 |