NPI | 1548784846 |
---|---|
Former Name | DANA MICHELLE LAYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA11357) |
Additional Taxonomies | 363A00000X Physician Assistant |
363AM0700X Physician Assistant, Medical (Licence: TX PA11357) | |
Enumeration Date | 2017-07-28 |
Last Update Date | 2020-01-29 |