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 |