| NPI | 1265969703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN LEPKE Owner 808-855-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 2012001836) |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2018-03-17 |