NPI | 1376112888 |
---|---|
Former Name | KALI CONDIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: UT 11311452) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 11311452-3102) |
363LW0102X Nurse Practitioner, Women's Health (Licence: UT 11311452) | |
Enumeration Date | 2021-06-18 |
Last Update Date | 2023-12-13 |