| NPI | 1235861519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LEILANI GARNETT Sole Proprietor 808-217-2513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2024-04-09 |