| NPI | 1699950535 |
|---|---|
| Former Name | SUMMER COLLETTE OVERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: IL 209-007124) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 17020) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209007124) | |
| 363L00000X Nurse Practitioner (Licence: IL 209-007124) | |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2022-07-15 |