| NPI | 1568507200 |
|---|---|
| Former Name | SHAUNTA D MARTINA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 28460) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 13435) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2019-04-12 |