| NPI | 1033574116 |
|---|---|
| Former Name | MICHELLE MOMOE SOGA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: HI APRN 2025) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: HI APRN-2025) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2022-03-29 |