| NPI | 1790928489 |
|---|---|
| Former Name | LISA M MERITT-ITEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201350102NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN156565) |
| Enumeration Date | 2009-04-11 |
| Last Update Date | 2020-07-28 |