| NPI | 1548628738 |
|---|---|
| Former Name | SAMANTHA OVERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NV PA0548) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX PA10363) |
| 363A00000X Physician Assistant (Licence: CO PA.0004886) | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2022-04-28 |