| NPI | 1326363078 |
|---|---|
| Former Name | HEATHER N MACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology (Licence: CO 55588) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2015-09-28 |