NPI | 1699029033 |
---|---|
Former Name | KAILA ROSE STAUB-DELONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: WA RN60088951) |
Enumeration Date | 2012-11-07 |
Last Update Date | 2012-11-07 |