| NPI | 1891137170 |
|---|---|
| Former Name | AMY MARIE KRUKEMEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: IL 019029369) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-10-24 |