| NPI | 1659613438 |
|---|---|
| Former Name | KELLY N LESKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: WI 5442-29) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: IL 1069975) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2025-02-18 |