| NPI | 1821677600 |
|---|---|
| Former Name | DIONNE LASHAWN KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: AK 189197) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 172801) |
| 176B00000X Midwife (Licence: UT 11868743-4402) | |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2025-04-01 |