Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 5054 | HI |
NPI | 1003428772 |
---|---|
Provider Name | Brynn Ayala |
First Address | Kaneohe, HI 96744-2417 |
Second Address | Kaneohe, HI 96744-2417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2020 |
Last Update Date | 05/01/2022 |