NPI | 1487936407 |
---|---|
Former Name | SARAH ELIZABETH FOEBAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171W00000X Contractor (Licence: OH 3234) |
Additional Taxonomies | 171W00000X Contractor (Licence: KY A3874) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2011-09-15 |