| NPI | 1023471711 |
|---|---|
| Former Name | JESSICA LEIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OH LD.7471) |
| Additional Taxonomies | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: OH LD.7471) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2023-05-25 |