| NPI | 1477160141 |
|---|---|
| Former Name | VICTORIA LAYNE BURRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.007738RX) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 001010706) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2023-01-31 |