| NPI | 1689789471 |
|---|---|
| Former Name | MIRIAM TRINIDAD CODDOU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 160417) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-07-08 |