| NPI | 1083876643 |
|---|---|
| Former Name | LENORE REEVA C SIMANGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A121519) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NH 17235) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2022-07-21 |