| NPI | 1790172963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH WILKEY Health Care Consultant 858-888-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60295880) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |