NPI | 1295887750 |
---|---|
Former Name | COZUMEL ALLYSON SOUTHERN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology (Licence: MD D67656) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MD P20254) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2013-03-01 |