| NPI | 1548633381 |
|---|---|
| Former Name | KRISTINA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WA 60608016) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH60608016) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2023-04-14 |