| NPI | 1477605913 |
|---|---|
| Former Name | GRETTEL C. JARA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036108129) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2025-02-12 |