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 |