| NPI | 1285394312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYNE KIMELIMBARAKA Nurse Practitioner 979-645-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2021-12-30 |