NPI | 1710184452 |
---|---|
Former Name | MAGDALENA A MIKULA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: IL 046009914) |
Enumeration Date | 2007-06-27 |
Last Update Date | 2007-08-23 |