NPI | 1790054294 |
---|---|
Former Name | AMY KATHRYN WIGLESWORTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1835X0200X Pharmacist, Oncology (Licence: MD 19731) |
Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: NY 056046-1) |
1835X0200X Pharmacist, Oncology (Licence: NC 20342) | |
Enumeration Date | 2011-12-29 |
Last Update Date | 2014-06-11 |