Under Karina's guidance, the practice evolves in areas such as consulting on proper GMP and GDP services, complicated aspects of organizing and conducting clinical trials, technology transfers, setting up medicinal product manufacturing in international markets, and implementing complex commercial interaction models among pharmaceutical market stakeholders.

Karina is actively engaged in legislative initiatives in the realm of digital healthcare and medical data. She is a founding member and visionary leader of the Life Sciences Legal Club (a consortium of in-house lawyers from the pharmaceutical and medical device sectors). Annually, Karina serves as a legal authority invited by the Central Research Institute for Organization and Informatization of Healthcare (a federal state-funded institution under the Russian Ministry of Health) at events aimed at enhancing the professional expertise of industry personnel in digital healthcare.