NPI | 1811783558 |
---|---|
Former Name | RYLEE KAE ERNST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WY 1102451-30) |
Enumeration Date | 2025-04-18 |
Last Update Date | 2025-04-18 |