| NPI | 1477874063 |
|---|---|
| Former Name | JODY KALYN KLINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61211025) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2021-08-20 |