Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | MD - 15352 | HI |
NPI | 1144489584 |
---|---|
Provider Name | Ms. Joan E. Grote |
First Address | Honolulu, HI 96816-5024 |
Second Address | Honolulu, HI 96817-1653 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2008 |
Last Update Date | 25/04/2011 |