NPI | 1215383302 |
---|---|
Former Name | ABBY LEIGH STAUSS KIPPEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: ID CHIA1694) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: OR 5739) |
Enumeration Date | 2016-05-09 |
Last Update Date | 2022-08-09 |