| NPI | 1134491178 |
|---|---|
| Former Name | ANNA ECKERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95002842) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 776948) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2015-09-08 |