| NPI | 1629802632 |
|---|---|
| Former Name | JOSEPH KA'IMIALAIMAKA LA VINE |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10030537) |
| Enumeration Date | 2024-08-30 |
| Last Update Date | 2024-11-09 |