NPI | 1942834049 |
---|---|
Former Name | EDWARD ANIM-BOATENG |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 009298) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402903) |
Enumeration Date | 2020-02-27 |
Last Update Date | 2022-08-30 |