| NPI | 1730634940 |
|---|---|
| Former Name | JULIANNE WIGLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA5839) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2023-03-07 |