Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | ATI 3321 | OR |
NPI | 1003080516 |
---|---|
Provider Name | Miss Nina Nemetz |
First Address | Honolulu, HI 96820-2360 |
Second Address | Wailuku, HI 96793-1474 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2008 |
Last Update Date | 04/05/2017 |