| NPI | 1801081773 |
|---|---|
| Former Name | KRISTA K SHAHA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 10846) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 14656) |
| 183500000X Pharmacist (Licence: TX 44635) | |
| 183500000X Pharmacist (Licence: IA 20513) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2008-04-20 |