| NPI | 1740541283 | 
|---|---|
| Former Name | KELSEE LEISNER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: MO 2015014691) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2015014691) | 
| Enumeration Date | 2012-05-31 | 
| Last Update Date | 2018-09-05 |