| NPI | 1609234533 |
|---|---|
| Former Name | IVY KWANOR ABOAGYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2299208) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: RI APRN01450) |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2024-04-10 |