| NPI | 1215236963 |
|---|---|
| Former Name | SANDRA J MIKULIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036134339) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 02007537A) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2024-05-07 |