| NPI | 1629491360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM MOSTAGHNI YAZDI Member 360-981-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60308453) |
| Enumeration Date | 2014-01-31 |
| Last Update Date | 2021-10-21 |