| NPI | 1487113726 |
|---|---|
| Former Name | LESLEY ANN NISHIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA a182358) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA PTL1606) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2022-11-29 |