| NPI | 1023797388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUULEIKUPONOOKEALOHA NAAHIELUA Manager 808-867-6477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-22 |