| NPI | 1790091700 |
|---|---|
| Former Name | KARA LYNN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R-131129-3) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2018-01-16 |