NPI | 1619419124 |
---|---|
Former Name | KARA M RICKETTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: IN 37002863A) |
Additional Taxonomies | 133V00000X Dietitian, Registered |
133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
Enumeration Date | 2016-11-15 |
Last Update Date | 2022-08-23 |