| NPI | 1659489946 |
|---|---|
| Former Name | JODI LYNN MINIARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH COA.08261-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH COA.08261-NP) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2022-11-04 |