| NPI | 1841873957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DERRYBERRY Nurse Practitioner 808-936-1301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |