| NPI | 1174213060 | 
|---|---|
| Former Name | MIOSOTIS JOSEFINA VALENZUELA JIMINIAN | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: PR 16827)  | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2023-05-12 | 
| Last Update Date | 2023-12-01 |