| NPI | 1205727161 |
|---|---|
| Former Name | KRISTIN RENEE CLEMENS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.0040216) |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-09-08 |