NPI | 1730685868 |
---|---|
Former Name | SARAH ELIZABETH ALFORD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: AR 4312) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2018-04-05 |
Last Update Date | 2022-10-11 |