| NPI | 1063009207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYAJI GREEN Office Manager 808-573-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2020-12-22 |