| NPI | 1780999607 |
|---|---|
| Former Name | SHRUTI M MODY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NJ 28RI03341000) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA rph55439) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |