Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD-11847 | HI |
N | 208000000X | Pediatrician | MD-11847 | HI |
NPI | 1093782682 |
---|---|
Provider Name | Dr. Jennifer Wairimu Mbuthia |
First Address | Washington, DC 20307-0003 |
Second Address | Honolulu, HI 96813-2499 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 06/04/2021 |