| NPI | 1689824260 |
|---|---|
| Former Name | KRISTA STAINBROOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0000X Registered Nurse General Practice (Licence: CO 203516) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CO 40605) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2012-02-13 |