| 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 |