| NPI | 1578751582 |
|---|---|
| Former Name | KELLY J GIRA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: TN 2169) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085-003039) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2021-07-23 |