| NPI | 1639295587 |
|---|---|
| Former Name | JENNIFER LYNN UNDERHILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: OR MD29229) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME 97948) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2009-07-14 |