NPI | 1265433387 |
---|---|
Professional Name | DIANE NYKAMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA 13548) |
Additional Taxonomies | 183500000X Pharmacist (Licence: FL 19512) |
Enumeration Date | 2005-08-10 |
Last Update Date | 2007-07-08 |