| NPI | 1386909182 |
|---|---|
| Professional Name | DIANE WONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH10390) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH39920) |
| 183500000X Pharmacist (Licence: NV 09119) | |
| Enumeration Date | 2012-07-08 |
| Last Update Date | 2015-05-18 |