| NPI | 1184890634 |
|---|---|
| Former Name | HEATHER MARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX P8902) |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology (Licence: TX P8902) |
| 207ZD0900X Pathology, Dermatopathology (Licence: NH 15698) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: NH 15698) | |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2020-04-22 |