| NPI | 1255377883 |
|---|---|
| Former Name | MARYDINA SALMASIZADHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00116530) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30005811) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP30005811) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2016-04-19 |