| NPI | 1992116610 |
|---|---|
| Former Name | AUTUMN DAWN METZGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR MD192399) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 276876) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2021-03-09 |