| NPI | 1790842961 |
|---|---|
| Former Name | KOREEN MONTGOMERY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MI 4704135085) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |