| NPI | 1437793056 |
|---|---|
| Former Name | KATRINA ANN OVERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NH 1539) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KS 15-02365) |
| 363A00000X Physician Assistant (Licence: VT 055.0031443) | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2020-10-16 |