NPI | 1154855377 |
---|---|
Professional Name | LESTEENA JOHANA STAINES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN157147) |
Enumeration Date | 2017-04-13 |
Last Update Date | 2017-04-13 |