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 |