| NPI | 1861691644 |
|---|---|
| Former Name | THERESE FRANCESCA COLLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 4397) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: NY F381343-1) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2022-07-21 |