| NPI | 1467448514 |
|---|---|
| Former Name | AMY ILYSE KRUPNICK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA08081300) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME 92169) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2013-02-18 |