| NPI | 1598142028 |
|---|---|
| Former Name | KRISTIN D CLEAVINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2015005065) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2015005065) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2022-04-03 |