NPI | 1518125822 |
---|---|
Former Name | SUSAN JENNIFER ECKERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 242547) |
Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: NY 242547) |
207R00000X Internal Medicine (Licence: NY 242547) | |
Enumeration Date | 2008-05-23 |
Last Update Date | 2017-01-05 |