| 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 |