| NPI | 1225100613 |
|---|---|
| Former Name | DAWN PATRICE OWENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NC 2008-01340) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2017-03-21 |