| NPI | 1639495708 |
|---|---|
| Former Name | KRYSTEN MARIE BOTIMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: ID M-13270) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: GA 74281) |
| 207X00000X Orthopaedic Surgery (Licence: CA A118962) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2017-01-10 |