| NPI | 1659907160 |
|---|---|
| Former Name | ANGELITA ANCHETA RALLOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP141776) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP141776) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2023-09-30 |