| NPI | 1669707675 |
|---|---|
| Former Name | NATASHIA S KORUS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NE 1476) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IA 002049) |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2020-12-30 |