Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XM0800X | Mental Health | 381 | HI |
NPI | 1033590310 |
---|---|
Provider Name | Ms. Donna P. Lee |
First Address | Honolulu, HI 96819-1522 |
Second Address | Honolulu, HI 96819-1522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2015 |
Last Update Date | 12/06/2015 |