| NPI | 1760160865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAE LYNNE NEWPHER Owner 808-430-0794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-12-21 |