| NPI | 1225385347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAQUEL ANN BOROMEO Billing And Credentialing 808-969-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN1450) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2017-07-17 |