| NPI | 1578839957 |
|---|---|
| Former Name | TARA MARIE MELGARY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: WV 28718) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: OH 35129694) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2021-01-05 |