| NPI | 1962927327 |
|---|---|
| Former Name | AYANNA AKOSUA SMALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95006192) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 661631) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2017-10-02 |