| NPI | 1821223124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONDA K SOTO Member Owner 808-987-4506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: HI APRN 677) |
| Enumeration Date | 2009-05-16 |
| Last Update Date | 2009-05-16 |