| NPI | 1144456989 | 
|---|---|
| Former Name | SARAH L FUENGER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: WI 4284) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 002944) | 
| Enumeration Date | 2009-06-08 | 
| Last Update Date | 2023-12-05 |