| NPI | 1922354380 |
|---|---|
| Former Name | ELIZABETH ANNE VILLEGAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS017490) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 125109) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2016-09-30 |