| NPI | 1558500207 |
|---|---|
| Former Name | KAREN SUE DENEEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CT 000313) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: CT 000313) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2012-04-27 |