| NPI | 1982635454 | 
|---|---|
| Former Name | DAWN M. FISHER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 0429589)  | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2001012036)  | 
| Enumeration Date | 2006-07-05 | 
| Last Update Date | 2025-09-05 |