| NPI | 1699329839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG SHIMOMURA Medical Director 808-942-1852 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LC1500X Nurse Practitioner, Community Health |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2022-09-27 |