| NPI | 1982065348 |
|---|---|
| Former Name | CHRISTINA BERTOLI HIDUCHICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: MA RN2265780) |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2019-10-10 |