| NPI | 1073880621 |
|---|---|
| Former Name | MARIKO LEE JAMESON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 2268187) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NP37010) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2015-12-04 |