Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | 19530 | HI |
NPI | 1063807840 |
---|---|
Provider Name | Ann Catherine Garcia |
First Address | Honolulu, HI 96817 |
Second Address | Honolulu, HI 96817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 10/07/2018 |