| NPI | 1073969952 |
|---|---|
| Former Name | WANDA LEE GUEDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: MS R740713) |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |