| NPI | 1497072664 |
|---|---|
| Former Name | LUCY ELENA MAULBETSCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: VA 0102204122) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2018-03-17 |