NPI | 1053933309 |
---|---|
Former Name | VICTORIA MARIE WYND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.0026903) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.407314) |
363LA2200X Nurse Practitioner, Adult Health (Licence: OH CNP0026903) | |
Enumeration Date | 2020-05-09 |
Last Update Date | 2024-08-16 |