| NPI | 1538513619 |
|---|---|
| Former Name | MALLORY NAKAMA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95004099) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 182023) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2023-08-21 |