| NPI | 1619972999 |
|---|---|
| Former Name | DAWN M EVERHART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036099085) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-0099085) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2021-04-21 |