| NPI | 1053590273 |
|---|---|
| Former Name | JENNIFER LYN WOODARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: FL ME112531) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: FL ME112531) |
| 208000000X Pediatrics (Licence: DC MD037831) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN9945) | |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2021-10-18 |