| NPI | 1952457467 |
|---|---|
| Other Name | MARY WYCKOFF |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 21525) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: FL 1703712) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 21525) | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CA 21525) | |
| 364SA2100X Clinical Nurse Specialist, Acute Care (Licence: CA 3812) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2012-10-29 |