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 | 2007-07-12 |