Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | MD-18859 | HI |
NPI | 1013350719 |
---|---|
Provider Name | Sara C. Harris |
First Address | Waipahu, HI 96797-4632 |
Second Address | Waipahu, HI 96797-4632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2013 |
Last Update Date | 07/05/2021 |