| NPI | 1568291672 |
|---|---|
| Former Name | SAMANTHA DANIELLE WIGINTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 37098) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 0000000) |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-10-02 |