Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | MD-9065 | HI |
NPI | 1114092574 |
---|---|
Provider Name | Dr. Brunhild M. Halm |
First Address | Honolulu, HI 96826-1001 |
Second Address | Honolulu, HI 96826-1001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 10/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G82424 | (02) | HI |