| 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 |