NPI | 1013750983 |
---|---|
Former Name | JATANDRA LEE OWENS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: KS 1-14682) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-14682) |
Enumeration Date | 2024-06-17 |
Last Update Date | 2024-06-17 |