| NPI | 1053590034 |
|---|---|
| Other Name | CAROL LYNN G WYCHICO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA NP17602) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP17602) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2008-06-06 |