| NPI | 1144488198 |
|---|---|
| Former Name | HEIDI ANN BOYUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: ND 16106) |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: CA A105674) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2019-11-13 |