| NPI | 1871865485 |
|---|---|
| Former Name | KIMBERLY CARRIE STROHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA056730) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2011035892) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2019-05-20 |