| NPI | 1558543819 |
|---|---|
| Former Name | AMY ELIZABETH ANTCZAK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-01033) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NC 0010-01033) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2023-10-23 |