Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | 7468509-1205 | UT |
NPI | 1144474768 |
---|---|
Provider Name | Dr. Jennifer K Workman |
First Address | Salt Lake City, UT 84158 |
Second Address | Salt Lake City, UT 84113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2008 |
Last Update Date | 29/11/2021 |