| NPI | 1902137052 |
|---|---|
| Former Name | GAIL MONTAGUE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA RN172670) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2010-01-28 |