| NPI | 1700868999 |
|---|---|
| Former Name | MELANIE TARA MCROY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MN 61939) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 216983) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2022-07-21 |