Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 41974 | WA |
N | 2084N0600X | Clinical Neurophysiologist | 41974 | WA |
NPI | 1003927864 |
---|---|
Provider Name | Cristina Irene Matei |
First Address | Tucson, AZ 85745-5135 |
Second Address | Tucson, AZ 85723-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 21/08/2010 |