| NPI | 1013013762 |
|---|---|
| Former Name | CORIN ALYSIA SHENUSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006017) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 003449) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2016-09-21 |