# MRS. ILDIKO MAGDA DOMANICO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255682688
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | 114484 | WI | — |
| 363LA2200X | Adult Health Nurse Practitioner | 6914-33 | WI | Yes |

## Other

- **Enumeration date:** 09/25/2012
- **Last updated:** 05/17/2016