| NPI | 1487694071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE LYNN CROSBY Certified Family Nurse Practitioner 808-929-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN756) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-12-04 |