| NPI | 1689235707 |
|---|---|
| Former Name | MADELINE FORTUNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367H00000X Anesthesiologist Assistant (Licence: OH 67.000344) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 67.000344) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2024-02-16 |