| NPI | 1316613227 |
|---|---|
| Former Name | LAURA E MERTIKAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11013525) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID 69056) |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2023-02-24 |