| NPI | 1699855106 |
|---|---|
| Former Name | JEANNE MARIE RESTIVO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN260920) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 055219-23-03) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2013-09-24 |