| NPI | 1902194939 |
|---|---|
| Former Name | JOANNA LYNN WIGFIELD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NY 312665) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AZ 006276) |
| 208000000X Pediatrics (Licence: AZ 006276) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2021-11-05 |