Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 107 | HI |
NPI | 1033256599 |
---|---|
Provider Name | Dr. Karen Tan |
First Address | Honolulu, HI 96814 |
Second Address | Honolulu, HI 96814-4001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/07/2007 |