| NPI | 1669753349 |
|---|---|
| Former Name | JAYME MARIE CLINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3006974) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: KY 1116512) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2020-10-23 |