Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | ND180 | HI |
NPI | 1053579243 |
---|---|
Provider Name | Dr. Summer Baptist |
First Address | Honolulu, HI 96813-3306 |
Second Address | Honolulu, HI 96813-3306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2008 |
Last Update Date | 25/05/2008 |