| NPI | 1750820965 |
|---|---|
| Former Name | MARIKO ELIZABETH LIGHTNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006095) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95053145) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2022-04-06 |