| NPI | 1578926846 |
|---|---|
| Former Name | LEAH MARIE FEAZEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NM MD2016-0574) |
| Enumeration Date | 2016-04-03 |
| Last Update Date | 2022-03-10 |