| NPI | 1306942396 |
|---|---|
| Former Name | LAURA LYNN MERRITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP 30001856) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 086006640N2) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-15 |