| NPI | 1689012080 |
|---|---|
| Former Name | DAWN MARIE POTHIER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 283231) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 282231) |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2023-06-29 |