| NPI | 1023375664 |
|---|---|
| Former Name | KARIN LYNN DEJONG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 59604) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 59604) |
| 207QS0010X Family Medicine, Sports Medicine (Licence: CO 59604) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2022-11-04 |