| NPI | 1801884150 |
|---|---|
| Former Name | MICHELE ELIZABETH OVERTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101280768) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A89515) |
| 207Q00000X Family Medicine (Licence: IN 01066050A) | |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2024-10-04 |