| NPI | 1265433387 |
|---|---|
| Professional Name | DIANE NYKAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| 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 |