| NPI | 1184267270 | 
|---|---|
| Former Name | MARY ELIZABETH COLETTI | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11024455) | 
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 0000026715) | 
| Enumeration Date | 2019-10-22 | 
| Last Update Date | 2023-03-23 |