Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1144396250 |
---|---|
Provider Name | Donna Farley |
First Address | Lihue, HI 96766-6949 |
Second Address | Lihue, HI 96766-2037 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
54126007 | (05) | HI |
S21138 | (02) | HI |