| NPI | 1437470200 |
|---|---|
| Former Name | PAMELA JEAN WIGGINTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R23556) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN 4097) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2019-11-06 |