| 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 |