Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MD-18694 | HI |
NPI | 1245520873 |
---|---|
Provider Name | Ms. Megan S. Motosue |
First Address | Honolulu, HI 96814-2118 |
Second Address | Honolulu, HI 96814-2118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2011 |
Last Update Date | 06/07/2021 |