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 |