| NPI | 1013625482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA AU Owner 808-266-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2022-11-14 |
| Last Update Date | 2022-11-14 |