| NPI | 1609287739 |
|---|---|
| Former Name | HEIDI HOLTORF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: TX R6024) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2022-05-12 |