| NPI | 1699149971 |
|---|---|
| Other Name | GAIL DENISE WYCHE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: GA 250105) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |