NPI | 1669983045 |
---|---|
Former Name | KATLIN JOY LAYMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AZ 9140) |
Additional Taxonomies | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: FL PA9110776) |
363A00000X Physician Assistant (Licence: FL PA9110776) | |
Enumeration Date | 2017-10-12 |
Last Update Date | 2022-08-24 |