| NPI | 1114799350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUN SUK HONG Chief Executive Officer 808-979-6930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |