NPI | 1992920748 |
---|---|
Former Name | JODY L CAMP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006898) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30006898) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2020-12-02 |