NPI | 1104676204 |
---|---|
Former Name | MADELINE ELIZABETH REDWINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH APRN.CNP.0033475) |
Enumeration Date | 2024-03-25 |
Last Update Date | 2024-04-24 |