| NPI | 1699238717 |
|---|---|
| Former Name | CHELSEA MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SC 94335) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME155798) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2025-07-28 |