NPI | 1417940131 |
---|---|
Former Name | KATHERINE MAY NYQUIST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH020883) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 40056) |
Enumeration Date | 2005-08-28 |
Last Update Date | 2007-07-08 |