NPI | 1013201441 |
---|---|
Former Name | ACACIA SISLER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX T9664) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX 557693) |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: NM MD2014-0734) | |
Enumeration Date | 2011-06-02 |
Last Update Date | 2022-10-18 |