| NPI | 1356412084 |
|---|---|
| Former Name | JANTI DHARMA OEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TX Q1697) |
| Additional Taxonomies | 174400000X Specialist (Licence: CA A53553) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-02-01 |