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 |