| NPI | 1023736238 |
|---|---|
| Former Name | KATELYN DANIELLE ENSIGN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2023-05-30 |