Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TH0100X | Health Service | PSY-749 | HI |
NPI | 1275502130 |
---|---|
Provider Name | Dr. Robin Emi Sugihara Miyamoto |
First Address | Honolulu, HI 96817-1600 |
Second Address | Honolulu, HI 96817-1600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
506892-01 | (05) | HI |