| NPI | 1366315384 |
|---|---|
| Former Name | JODI KAY PFANNENSTEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN 2251080) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 13426) |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |