| NPI | 1386886257 |
|---|---|
| Former Name | RACHAEL RAELYNN RICKERTSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IA 40261) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2017-01-23 |