A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Pharmacotherapy | 1835P1200X |
| Geriatric | 1835G0303X |
* Indicates primary specialty
| NPI Number | 1104969625 |
| Credentials | PHARM.D. (Doctor of Pharmacy) |
| Entity | Individual |
| Enumeration date | 02/14/2007 |
| Last updated | 09/11/2025 - About 9 months ago |
| Sole proprietor1 | Yes |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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