| NPI | 1508801457 |
|---|---|
| Former Name | MAGDALENA MYSLIWIEC |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: IL 096002135) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-05-04 |