| NPI | 1225622293 |
|---|---|
| Former Name | KELLEY RUTH GIROUARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA213070) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2021-02-21 |
| Last Update Date | 2024-06-18 |