| NPI | 1043292576 |
|---|---|
| Former Name | SARAH E BRADFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 39035) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101-236413) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2022-09-07 |