| NPI | 1093711566 |
|---|---|
| Former Name | DAWN M. JORGENSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 67538) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD 4610) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2021-11-30 |