NPI | 1154366607 |
---|---|
Other Name | KERI ANN BAACKE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: FL ME90465) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL ME90465) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2019-03-25 |