NPI | 1912981580 |
---|---|
Former Name | MARSHA D DIRKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 5934) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 2972) |
Enumeration Date | 2005-12-06 |
Last Update Date | 2007-07-08 |