| NPI | 1972173300 |
|---|---|
| Former Name | SUMMER CHRISTINE OVERHOLT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA MT222967) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MT222967) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2023-05-17 |