| NPI | 1992003263 |
|---|---|
| Former Name | KELLI LYNN VAN CLEAVE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024169191) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2017-08-23 |