| NPI | 1558976910 |
|---|---|
| Former Name | ANGELA M AVILES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 10646-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 194172-30) |
| 363L00000X Nurse Practitioner (Licence: WI 10646-33) | |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2025-07-30 |