| NPI | 1194907279 |
|---|---|
| Former Name | ROWELLA MENDOZA LICUP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: FL ME151358) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2022-07-15 |