Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 18243 | HI |
NPI | 1194952457 |
---|---|
Provider Name | Mrs. Miriam Jessie Seitz |
First Address | Honolulu, HI 96817 |
Second Address | Honolulu, HI 96817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2009 |
Last Update Date | 18/03/2016 |