| NPI | 1790065811 |
|---|---|
| Former Name | TEENA KAREN DEIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: PA VP003464D) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN176600L) |
| Enumeration Date | 2011-08-20 |
| Last Update Date | 2011-08-20 |