[1] This house became an important stopping point on the Underground Railroad, eventually giving shelter to approximately 1,500 escaped slaves as they traveled to safety in Canada.

Growing up in this house allowed Fraser to gain experience in treating the injuries and illnesses these people had suffered as a result of their slavery or escape.

[5] In 1884, following a special license by then-president Fernando Arturo de Meriño, Dr. Fraser became the first woman authorized to practice medicine in the Dominican Republic.

[5] After her husband died in 1894, Sarah ended her practice, so that she could spend her full time running the family pharmacy in Puerto Plata, which was a popular neighborhood spot.

She closed the pharmacy in 1896 and used the profits to move herself and Gregoria to Washington D.C.[1] In 1907, Fraser began practicing pediatric medicine again from her home in Syracuse, New York and mentored black midwives.

Following financial difficulty in 1908 surrounding an unpaid loan to her brother-in-law Lewis Douglass, she briefly worked as resident physician at the Blue Plains Industrial School for Boys in Maryland, but soon quit due to discrimination and poor treatment.

With no reason to stay in the Dominican Republic, Dr. Fraser moved back to Washington D.C. in early 1897 and, unsatisfied with the racism in American education systems,[6] enrolled her daughter in boarding school in Neuilly-sur-Seine in France.

[3] When Sarah Fraser died in 1933, the Dominican Republic declared a nine-day period of national mourning with flags flown at half-mast.

"[9] In recent years, Upstate has celebrated "Sarah Loguen Fraser Day" in February, typically with a lecture and luncheon, as a part of Black History Month.