| NPI | 1821527458 |
|---|---|
| Former Name | SHANNA C. BOAKYE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.021625) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 021625-CNP) |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2020-04-17 |