| NPI | 1225791486 | 
|---|---|
| Former Name | JILLIAN E LAYNE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9116706) | 
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL 10650) | 
| Enumeration Date | 2021-10-14 | 
| Last Update Date | 2025-08-15 |