| NPI | 1003344862 |
|---|---|
| Former Name | ALYSON ENDICOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 12229855-1205) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: UT 12229855-1205) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2023-02-20 |