NPI | 1811343999 |
---|---|
Other Name | LAUREN LEE VILLEGAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX S2191) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-05-09 |
Last Update Date | 2021-01-19 |