| NPI | 1225329634 |
|---|---|
| Former Name | LESLEE ANN NISSING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: TN 0000054142) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2022-03-22 |