| NPI | 1780904128 |
|---|---|
| Former Name | HEIDI JANE HENDRICKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: SC MMD.32653 LL) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2015-02-13 |