| NPI | 1942974571 |
|---|---|
| Former Name | ELAINE KATHERINE ERNST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 11144) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2021-08-06 |