| NPI | 1700396991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KIM WEST Provider 808-276-7223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI 2209) |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2017-10-03 |