Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD- 13869 | HI |
Y | 2080P0214X | Pediatric Pulmonologist | MD-13869 | HI |
NPI | 1598820417 |
---|---|
Provider Name | Dr. Christine Mae Gould |
First Address | Mchk-Qs Tripler Amc, HI 96859-5001 |
Second Address | Mchk-Qs Tripler Amc, HI 96859-5001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2006 |
Last Update Date | 09/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
VAD000 | (02) | HI |