| NPI | 1861836116 |
|---|---|
| Former Name | MICHELLE JUNE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 031401-23) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NH 031401-23) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2016-04-21 |