| NPI | 1720257686 |
|---|---|
| Former Name | JENNIFER LEE SHAMP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: CA 59628) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: OH 03-2-23783) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |