| 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 |