| NPI | 1578809596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACINTA W KIMANI Owner/Nurse Practitioner 205-381-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-115537) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2012-12-19 |