| NPI | 1912392994 |
|---|---|
| Other Name | JERRY KEAOPUA COSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AZ RN184402) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN49694) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |