| NPI | 1043063084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA WEST Owner/Provider 808-431-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-08-08 |