| NPI | 1861403560 |
|---|---|
| Former Name | KARIN LYNN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA A138028) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: VA 2305204657) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2022-02-06 |