Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 15919 | HI |
N | 207RG0300X | Geriatric Medicine | 216970 | MA |
N | 207RH0002X | Hospice and Palliative Medicine | 216970 | MA |
NPI | 1134181019 |
---|---|
Provider Name | Winnie Suen |
First Address | Honolulu, HI 96813-2402 |
Second Address | Honolulu, HI 96813-2402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 16/06/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110073332A | (05) | MA |
I28423 | (02) | MA |