| NPI | 1508890096 |
|---|---|
| Former Name | AMY B BLASZKOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA052542) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA052542) |
| 363AS0400X Physician Assistant, Surgical (Licence: PA MA052542) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-02-04 |