| NPI | 1699371484 |
|---|---|
| Former Name | JESLY VILLEGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PR 609PA) |
| Additional Taxonomies | 208D00000X General Practice (Licence: PR 23470) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2023-08-30 |