| NPI | 1568753218 |
|---|---|
| Other Name | DIANA L NIELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P4507) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 1052) |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2011-04-28 |