Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 60286450 | WA |
NPI | 1316196124 |
---|---|
Provider Name | Ms. Ghayda Mirzaa |
First Address | Seattle, WA 98101-1309 |
Second Address | Seattle, WA 98101-1309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2008 |
Last Update Date | 07/08/2012 |