NPI | 1073722849 |
---|---|
Former Name | SANDRA LYNN EARL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: GA CHIR006637) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: GA CHIR0006637) |
111NI0013X Chiropractor, Independent Medical Examiner (Licence: GA CHIR0006637) | |
Enumeration Date | 2007-05-21 |
Last Update Date | 2022-01-05 |