| NPI | 1780905315 |
|---|---|
| Former Name | MELISSA GAYLE MCGOWEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301096817) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-06-17 |