| NPI | 1013417070 |
|---|---|
| Former Name | ANGELISSE MARIE AVILES TORRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: FL APRN11006283) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2023-10-04 |