Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | A136240 | CA |
N | 208000000X | Pediatrician | A136240 | CA |
NPI | 1487920724 |
---|---|
Provider Name | Dr. Kristen Michelle Wigby |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2012 |
Last Update Date | 05/06/2018 |