NPI | 1407238595 |
---|---|
Former Name | YENNY PURNAWAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY 746445) |
Enumeration Date | 2015-06-24 |
Last Update Date | 2015-06-24 |