| 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 |