| NPI | 1932660628 |
|---|---|
| Former Name | ELIZABETH J VILLAFUERTE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 02006795A) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: IL 125.073992) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-04-15 |