| NPI | 1821381336 |
|---|---|
| Former Name | MICHELLE CATHERINE GAIL KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA OP60950816) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 02004138A) |
| 207R00000X Internal Medicine (Licence: IN 02004138A) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2022-02-16 |