| NPI | 1063721389 |
|---|---|
| Former Name | SUSAN M ECKLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: OH 12019-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 364523) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2013-07-17 |