NPI | 1104050426 |
---|---|
Former Name | SUSAN MAE ECKERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NY 293199) |
Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NE 27941) |
Enumeration Date | 2009-05-14 |
Last Update Date | 2018-08-03 |