| NPI | 1427337757 |
|---|---|
| Former Name | KATELYN JOANNA SHANAHAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NY 055895) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 055895) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2022-02-02 |