| NPI | 1407521164 |
|---|---|
| Former Name | JODI DALE HOWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A164473) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A16443) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2022-07-18 |