| NPI | 1003817222 |
|---|---|
| Former Name | MARY CAROL FORTUNATO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: OH APRN.CRNA.02038) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2024-08-05 |