Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | G86979 | CA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 11373 | HI |
NPI | 1124001441 |
---|---|
Provider Name | Dr. Marguerite Lisa Bartholomew |
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 | 21/11/2005 |
Last Update Date | 26/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G72208 | (02) | CA |