| NPI | 1588909287 |
|---|---|
| Former Name | MARY KATHERINE KUSTES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3007804) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0185113) |
| 163W00000X Registered Nurse (Licence: KY 1133433) | |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2023-02-06 |