| NPI | 1033627930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIDGET MAUREEN COLLINS Owner 808-212-9867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: HI MD-12374) |
| Enumeration Date | 2018-01-14 |
| Last Update Date | 2019-04-01 |