| NPI | 1215256151 |
|---|---|
| Former Name | MEGAN MARIE OVERBAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A156712) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60476268) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2020-01-23 |