| NPI | 1811213309 |
|---|---|
| Former Name | KATHERINE GRACE HAAKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: UT 11640813-1205) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: WI 56840-20) |
| 207V00000X Obstetrics & Gynecology (Licence: MA 275442) | |
| Enumeration Date | 2010-04-09 |
| Last Update Date | 2021-11-03 |