| NPI | 1710919600 |
|---|---|
| Other Name | WANDA JEON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN161911) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: GA RN161911) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-03-09 |