| NPI | 1033817069 |
|---|---|
| Former Name | MARY KATE DUSTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0024189259) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001270089) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2024-04-26 |