NPI | 1447315601 |
---|---|
Former Name | SARAH KATHLEEN MATTESON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60449945) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D68639) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD438638) | |
Enumeration Date | 2006-12-27 |
Last Update Date | 2014-08-20 |