| NPI | 1063815678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN E AUYONG Sole Member 808-368-4239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN728) |
| Enumeration Date | 2014-09-28 |
| Last Update Date | 2014-09-28 |