| NPI | 1720726979 |
|---|---|
| Former Name | CHRISTINA CAVANAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: PA OT021450) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OT021450) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2025-06-09 |