NPI | 1376969568 |
---|---|
Former Name | PAMELA ANN KAHOKULANI JOAO HERNANDEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
Enumeration Date | 2014-03-11 |
Last Update Date | 2014-03-11 |