| NPI | 1992900294 |
|---|---|
| Former Name | INGRID M DUTTON - FORTUNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 022757) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN271420) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2023-09-18 |